Sleep Self-report

Instrument Name: Sleep Self-report

Abbreviation: SSR

Points for Consideration:

None

Description of Tool:

The Sleep Self-report (SSR) is a 26-item PRO developed to assess sleep behavior and sleep disturbance. Children are asked to indicate the frequency of occurrence of these 23-items in the most recent, typical week, using a 3-level scale ranging from "usually" (5–7 times a week) to "rarely" (0–1 times a week). The remaining 3 items provide additional information with regards to bedtime routines. A higher score indicates more sleep problems.

Other Related Tools (if applicable):

Children's Sleep Habits Questionnaire (CSHQ)

Minimum Qualification Required by COA Administrator: No degree requirement

Comment:

The SSR was based on the structure and items of the Children's Sleep Habits Questionnaire developed by Owens et al., (2000).

Year: 2000

Objective of Development:

To assess sleep behaviour and sleep disturbance

Population of Development: Age range (therapeutic indication):

Age range: 7-12 years (No therapeutic indication)

Pediatric Population(s) in which COA has been used:

None identified

COA type: PRO

Number of Items 26

Mode of Administration: Self-administered; interviewer-administered

Data Collection Mode: Paper and pen administration

Time for Completion: No information

Response Scales: 3-point Likert scale ranging from "Usually" (5–7 times a week), "Sometimes" (2–4 times a week), "Rarely" (0–1 times a week).

Summary of Scoring:

Available scores: The SSR total score is based on 23-items; the remaining 3 items are not represented in the total score but provide additional information with regards to bedtime routines. Answers are converted to a score ranging from 1 to 3. Some of the items are reverse-scored so that a higher score indicates more sleep problems for all items.

Weighting: No

Score interpretation: Higher scores=More disturbed sleep

Evidence of Literature Review: None identified

Evidence of Instrument Review: None identified

Evidence of Clinical or Expert Input: None identified

Evidence of concept elicitation in target patient population: None identified

Evidence of a Saturation Grid: None identified

Evidence for Selection of Data Collection Method: None identified

Recall/Observation Period: Past week

Evidence for Selection of Reponse Options: None identified

Evidence of cognitive interviewing of draft instrument in target patient population: None identified

Evidence of Preliminary Scoring of Items and Domains: None identified

Evidence related to respondent and administrator burden: None identified

Evidence of a Conceptual Framework: None identified

Evidence of an item-tracking matrix: None identified

Evidence related to item selection: Yes

Evidence of re-testing the final version: None identified

Internal consistency (Cronbach's alpha): Yes

Evidence of internal consistency: Owens JA (2000) - Method: Cronbach's alpha - Results: 0.88 - Population/Disease: Elementary school children; n=334

Test-retest Reliability (ICC):

None identified

Inter-rater/ inter-interviewer reliability (kappa):

None identified

Evidence of test-retest or inter-rater reliability: None identified

Concurrent validity (convergent, divergent):

Owens JA (2000)
Convergent validity
- Correlation coefficient used: Spearman's correlation coefficient
- Measures: Individual Children's Sleep Habit Questionnaire items
- Results: After using the Bonferroni correction for multiple comparisons, significant r values ranged from .13 (child resists going to bed) to .36 (child has difficulty walking in the morning) with a mean r value of .22.
- Population/Disease: Elementary school children; n=284

Known-group validity:

None identified

Evidence of Translatability Assessment: None identified

Evidence related to missing data: None identified

Evidence for Selection of Recall Period: None identified

Evidence of Administration Instructions and Training Provided: None identified

Evidence of concurrent validity: Yes

Evidence of known-groups validity: None identified

Evidence of ability to detect change over time: None identified

Ability to detect change (Responsiveness):

None identified

Responder Thresholds:

None identified

Evidence of responder thresholds: None identified

Owens JA, Spirito A, McGuinn M, Nobile C. Sleep habits and sleep disturbance in elementary school-aged children. J Dev Behav Pediatr. 2000 Feb;21(1):27-36. doi: 10.1097/00004703-200002000-00005. PMID: 10706346. Full Text Article: https://pubmed.ncbi.nlm.nih.gov/10706346/

Owens JA, Spirito A, McGuinn M. The Children's Sleep Habits Questionnaire (CSHQ): Psychometric properties of a survey instrument for school-aged children. Sleep. 2000 Dec 15;23(8):1043-51 Full Text Article: https://pubmed.ncbi.nlm.nih.gov/11145319/

None identified

None identified

Yes

Original language: English for the USA

Translations found in Google Scholar:
Dutch
Portuguese
Spanish

Dutch:
Steur LMH, Grootenhuis MA, Terwee CB, Pillen S, Wolters NGJ, Kaspers GJL, van Litsenburg RRL. Psychometric properties and norm scores of the sleep self report in Dutch children. Health Qual Life Outcomes. 2019 Jan 16;17(1):15. doi: 10.1186/s12955-018-1073-x. PMID: 30651118; PMCID: PMC6335798.

Portuguese:
Loureiro, H. C., Pinto, T. R., Pinto, J. C., Pinto, H. R., & Paiva, T. (2013). Validation of the children sleep habits questionnaire and the sleep self report for Portuguese children. Sleep Science, 6(4), 151-158.

Spanish:
Orgilés M, Owens J, Espada JP, Piqueras JA, Carballo JL. Spanish version of the Sleep Self-Report (SSR): factorial structure and psychometric properties. Child Care Health Dev. 2013 Mar;39(2):288-95. doi: 10.1111/j.1365-2214.2012.01389.x. Epub 2012 Jun 8. PMID: 22676274.

Authors: Owens JA, Spirito A, McGuinn M, Nobile C.

Contact:
Judith A. Owens
Pediatric Ambulatory Medicine
Rhode Island Hospital
593 Eddy St., Potter Bldg., Suite 200
Providence, RI 02903
E-mail address: JOwens@Lifespan.org

None identified

None identified

https://www.childrenshospital.org/sites/default/files/media_migration/a4e04fa4-cea6-475f-99c9-000b22d6a1f3.pdf